Individual
MR. AVERY HIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3045 SANTIAGO ST, SAN FRANCISCO, CA 94116-1526
(415) 759-2222
Mailing address
606 BEAVER ST, SANTA ROSA, CA 95404-4228
(760) 954-0573
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
RPE20766
CA
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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